두개 파상풍의 치험례

• 영문명: CEPHALIC TETANUS : A CASE REPORT
• 발행기관: 대한구강악안면외과학회
• 저자명: 류승희(Seung-Hee Ryu) 서일영(Il-Young Seo) 박홍주(Hong-Ju Park) 오희균(Hee-Kyun Oh)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제30권 제4호, 345~348쪽, 전체 4쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2004.08.30

영문 초록

Cephalic tetanus is a rare subtype of tetanus in which trismus is a charateristic symptom. The paralysis of one or more cranial nerves can occur. The 7th cranial nerve is most frequently involved. It account for 1 to 3% of the tetanus and has a mortality of 15 to 30%. The incubation period is 1 to 14 days, and approximately two thirds of tetanus cases progress to generalized tetanus. Generally, the symptoms of cephalic tetanus can include : facial pain, trismus, dysphagia, muscle twitching spasms of the face and jaw (risus sardonicus), neck stiffness and malaise. We present a case of cephalic tetanus who 54-year male patient had trismus and dysphagia. There was no history of trauma. As there was a delay in diagnosis of cephalic tetanus, respiratory disorder and intermittent general spasm occurred. The patient was treated by injection of antibiotics, muscle relaxant, and human anti-tetanus immunoglobulin. His symptoms were disappeared, and he was discharged ambulatory.

키워드

Cephalic tetanus Trismus